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Casual blood pressure of adolescents attending public secondary schools in Maiduguri, Nigeria

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Introduction: Although evidence exists that adolescents’ hypertension could lead to adults’ hypertension, it is a general belief that measures for early detection and treatment of this condition is seldom undertaken especially in medically underserved communities such as Maiduguri, Northeastern Nigeria. This study investigated the prevalence of undiagnosed hypertension among adolescents in Maiduguri, Nigeria, and explored the association between undiagnosed hypertension and adolescents’ physical characteristics and parental socio-demographic factors. Methods: Participants’ physical characteristics were assessed, and information on their socio-demographics including parental socioeconomic status were obtained. Blood pressures and heart rates of the participants were also measured three times at 5–10-min period. Results: The prevalence of undiagnosed hypertension among the students was 13.2 %, and overwhelming majority (82.4 %) of the hypertensive students were in the prehypertensive stage, while 17.6 % were in the stage 1 classification of hypertension. Higher prevalence of undiagnosed hypertension was observed for the females compared to the male adolescents (X2 = 15.49, p = 0.001), and presence of undiagnosed hypertension is positively but tenuously linked to age (r = 0.11, p = 0.01), body mass index (r = 0.10, p = 0.01), and parental income (r = 0.26, p = 0.02) of the students. Discussion: This study suggests that any effective programs designed to mitigate undiagnosed hypertension among adolescents in this city should include strategies that address possible barriers to physical activity and exercise among female adolescents in the society.

Abstract

Introduction: Although evidence exists that adolescents’ hypertension could lead to adults’ hypertension, it is a general belief that measures for early detection and treatment of this condition is seldom undertaken especially in medically underserved communities such as Maiduguri, Northeastern Nigeria. This study investigated the prevalence of undiagnosed hypertension among adolescents in Maiduguri, Nigeria, and explored the association between undiagnosed hypertension and adolescents’ physical characteristics and parental socio-demographic factors. Methods: Participants’ physical characteristics were assessed, and information on their socio-demographics including parental socioeconomic status were obtained. Blood pressures and heart rates of the participants were also measured three times at 5–10-min period. Results: The prevalence of undiagnosed hypertension among the students was 13.2 %, and overwhelming majority (82.4 %) of the hypertensive students were in the prehypertensive stage, while 17.6 % were in the stage 1 classification of hypertension. Higher prevalence of undiagnosed hypertension was observed for the females compared to the male adolescents (X2 = 15.49, p = 0.001), and presence of undiagnosed hypertension is positively but tenuously linked to age (r = 0.11, p = 0.01), body mass index (r = 0.10, p = 0.01), and parental income (r = 0.26, p = 0.02) of the students. Discussion: This study suggests that any effective programs designed to mitigate undiagnosed hypertension among adolescents in this city should include strategies that address possible barriers to physical activity and exercise among female adolescents in the society.

참고문헌 (32)

  1. Kadiri S., "Tackling cardiovascular disease in Africa", BMJ, 331, pp.711~712 (2005)
  2. Ikechukwu OE., "A meta-analysis of prevalence rate of hypertension in Nigerian populations", J Pub Health Epidemiol, 3(13), pp.604~607 (2011)
  3. Chobanian AV., "The seventh report of the joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure", JAMA, 28(19), pp.2560~2569 (2003)
  4. Wolf-maker K., "Hypertension treatment and control in five European countries, Canada and the United States", Hypertens, 43, pp.10~14 (2004)
  5. Louw QA., "The prevalence of low back pain in Africa : a systematic review", BMC Musculoskelet Disord, 8, pp.105~ (2007)
  6. Elcarte E., "Hypertension and combination of cardiovascular risk-factors in middle-income countries and estimated cost of a treatment strategy", BMC Pub Health, 6, pp.9~ (2003)
  7. Kelishadi R., "First report on simplified diagnostic for pre-hypertension and hypertension in national sample of adolescents from the Middle East and North Africa : the CASPIAN-III study", J Pediatr(Rio J), 90(1), pp.85~91 (2014)
  8. Akinkugbe OO., "Bi-racial study of arterial pressure in the first and second decades of life", BMJ, 1, pp.1132~1134 (1977)
  9. Flynn JT., "Characteristics of children with primary hypertension seen at a referral center", Nephrol, 20, pp.961~966 (2005)
  10. Balogun JA., "Anthropometric determinants of resting blood pressure and heart rate of Nigerian school children", Annals of Tropical Ped, 10, pp.425~431 (1991)
  11. Bartosh SM., "Childhood hypertension. An update on aetiology, diagnosis and treatment", Paediatr Clin North Am, 46, pp.235~253 (1998)
  12. Sinaiko AR., "Hypertension in children and adolescence", Current Concept North J Med, 335, pp.1968~1973 (2003)
  13. Lip P., "The forgotten majority : unfinished business in cardiovascular risk reduction", J Med Cardiol, 46, pp.1225~1228 (2005)
  14. Daniel SR., "Left ventricular geometry and severe left ventricular hypertrophy in children and adolescent with essential", Hypertens J Med, 12, pp.1907~1911 (2004)
  15. Gross F., "Strasse. Treatment of arterial hypertension. A practical guide for physician and allied health workers", World Health Organization, 1985, pp.1~53 (1985)
  16. Trilling SJ., "The urgent need to improve hypertension care", Arch Intern Med, 9(9), pp.794~801 (2000)
  17. Liu J., "Awareness, treatment and control of hypertension", Am J Hypertens, 10(10), pp.1109~1112 (2004)
  18. Naing L., "Practical issues calculating the sample size for prevalence studies", Arch Oro-facial Sci, 1, pp.9~14 (2006)
  19. Chiolero A., "Prevalence of hypertension in school children based on repeated measurements and association with overweight", J Hypertens, 25(11), pp.2209~2217 (2007)
  20. Harabi KY., "Essential hypertension in children and adolescents", Hypertens, 55, pp.123~125 (2001)
  21. Boyd GS., "Effect of obesity and high blood pressure on plasma lipid level in children and adolescents", Paediatr, 116(2), pp.442~446 (2005)
  22. Adriana A., "Prevalence of high blood pressure in children and adolescents from the city of Maceió", Brazil J de Pediatria, 80(1), pp.35~40 (2004)
  23. Harrabi I., "Epidemiology of hypertension among a population of school children in Sousse", Tunisia Can J Cardiol, 22(3), pp.212~216 (2006)
  24. Adedoyin RA., "Prevalence and pattern of hypertension in a semi-urban community in Nigeria", Eur J Cardiovasc Prev Rehab, 15(6), pp.683~687 (2008)
  25. Nigerian Heart Foundation., "Federal Ministry of Health and Social services", Health behaviour monitor among Nigerian adult population, ~ (2003)
  26. Ogbagbon EK., "Prevalence of hypertension and associated variables in paid workers in Ilorin", Nigeria Niger J Clin Pract, 11(4), pp.342~346 (2008)
  27. Kadiri S., "Blood pressure, hypertension and correlates in urbanized workers in Ibadan, Nigeria : a revisit", J Hum Hypertens, 13, pp.23~27 (1999)
  28. Balogun JA., "Influence of parental socioeconomic status on casual blood pressure of Nigerian school children", Intl J cardiology., (29), pp.63~69 (1990)
  29. Lu Q., "How to simplify diagnostic criteria of hypertension in adolescents", J Hum Hypertens, pp.1~5 (2010)
  30. Arrol B., "Does physical activity lower blood pressure? A critical review of clinical trials", J Clin Epidemiol, 45(5), pp.439~447 (1992)
  31. Paffenbarger RS., "Physical activity and incidence of hypertension in college alumni", American J Epidemiol, 117, pp.245~257 (1983)
  32. Parati G., "Clinical relevance of blood pressure variability", J Hypertens, 16(3), pp.525~533 (1998)